HomeMy WebLinkAboutBuilding 06-0823
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
While
Pink
Yellow
File
City
Applicant
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f;
~
t:::NC/'rr fey
Date Rec' d
II Z,O, af,
[ PERMIT NO. ~..
8;2.3 J
ZONING (office use)
LOT
LEGAL DESCRlPTION (office use only)
BLOCK
ADDITION
OWNER
(Name)
PID Zr: {..1 6.. ()Q 7 ~ 0
(Address)
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HvCK....
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BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
/I'1e;7n;)o ~ Ll/e.Q?) I<: tl t..-O ~
J/j /V U3
?4- M7 7J't,A.-. fu/ ~ L.
(Phone)
(Phone)
ew Construction OOeck OPorch ORe-Roofing
Addition OAlteration OUtility Connection
CODE~. .C. OI.B.C. ~
Type of onstmction: I II III IV V A B Mise.
Occup y Group: A B E F HIM R S U
Division: I 2 3 4 5
~J6. Bb'7
ORe-Siding OLower Level Finish 0 Firepl,lCe
h~ ./)~~ /t.eJ01"rh-
PROJECT COST /V ALUE $
(excluding land)
I hereby certify that I have hlrnlshed InfilrmatlOn on this apphcatwn which IS to the best of my knowledge true and correct. I also certify that J am the owner or authorized agent I"r the
above-ment 'operty and that all constructIOn wIll contiJlm 10 all eXistIng state and local laws and will proceed in accordance with submitted plans I am aware that the bUIldIng
official c revoke tllS permit for 1St cause Further ore. J hereby agree that the City official or a deSignee may enter upon the propeny to pertiJrm needed InspeClions
If / "Z(J /6 "
{ Date
x
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace PermIt Fee
Contractor's License No.
Park Support Fee
SAC
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
~,~
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
#
#
$
$
$
$
$
$
$
$
$
#
#
This Application Becomes Your Building Permit When Approved
~ 7~ 0/7/0 (ij
lluildll1g OniClal bate ' I
ThIS IS to certify that the request III the above applicatIon and accompanYlllg documents IS In accor anee With the City Zoning Ordinance and may pnK cd as requested Tim document
when signed by the City Planner Clll1stIlutes a temporaty Certificate of Zonlllg compliance and allows construCtIon to commence Before occupancy. a Certificate of Occupancy must be
isslIed
Planning Director
Date
24 honr notice for all inspections (%2) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Special Conditions, if any
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITEADDRESS ~€~.
NATURE OF WORK - . .~ - - It si,e I ~.F
USE OF BUILDING S.F.'j). ~;;
PERMIT NO. . ~080. DATE ISSUED !ITa . =
CONTRACTOR LIIT~IlIIY PHONE... s-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING ?, l,rflJ
INSULATION
ELECTRICAL
PLUMBING ( (~~/"-ca
HEATING (if required) ( 1_ ),-('71J
FIREPLACE
GAS LINE AIR TEST \ 1.~ \9
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I 1] 1
FINALS
BUILDING
EtECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTil ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections have been approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850